无痛管理模式在全膝关节置换术后的应用  

Application of painless management model in patients after total knee arthroplasty

作　　者：韩向真[1] 康凯[1] 耿倩[1] 张运清[1] 刘晗[1] 董江涛[1] 

机构地区：[1]河北医科大学第三医院关节二科,河北省骨科研究所,河北省生物力学重点实验室,河北石家庄050051

出　　处：《河北医科大学学报》2017年第3期290-292,296,共4页Journal of Hebei Medical University

基　　金：河北省医学科学研究重点课题(20150740)

摘　　要：目的探讨无痛管理模式在全膝关节置换术后应用的作用。方法选择重度骨关节炎患者68例,分为观察组及对照组各34例,观察组与对照组分别采用不同的镇痛模式以及处理,对其临床资料、诊治及预后等情况进行调查、分析与总结。结果术前2组患者Lysholm评分差异无统计学意义(P>0.05),出院前观察组视觉模拟评分低于对照组,膝关节活动度高于对照组,差异有统计学意义(P<0.05)。结论通过一系列的术后康复手段,采用多模式镇痛可以有效增加患者术前主动锻炼的意识,同时也可减少患者术后静息及运动疼痛,有效保证了手术后康复计划的顺利进行,提高了患者满意度。Objective To explore the role of painless management in patients after total knee arthroplasty. Methods Sixty-eight patients with severe osteoarthritis were divided into two groups： observation group and control group, 34 cases in each group. They were calculated with clinical data, diagnosis and treatment, and prognosis. Results Preoperative Lysholm score was no significant difference between the two groups. The Visual Analogue Scale （VAS） of the observation group before discharge was significantly lower than that of the control group, and the range of motion（ROM） of the observation group before discharge was better than that of the control group, the difference of VAS score and ROM was statistically significant （P〈0.05）. Conclusion Multi-mode analgesia can effectively increase the awareness of preoperative active exercise through a series of postoperative rehabilitation methods. It can also reduce the rest and movement pain of patients after operation and plan and patient satisfaction.

关 键 词：关节成形术 置换 膝 镇痛 治疗结果 

分 类 号：R687.42[医药卫生—骨科学]